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Proximal Duodenal–Ileal End-to-Side Bypass with Sleeve Gastrectomy: Proposed Technique

  • Modern Surgery: Technical Innovation
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Abstract

Proximal duodenal–ileal end-to-side bypass with sleeve gastrectomy is a new bariatric technique based on the biliopancreatic diversion with duodenal switch in which after the sleeve gastrectomy, the duodenum is anastomosed to the ileum in a Billroth-II fashion. A 200-cm common channel-alimentary limb is devised. Anticipating an appropriate weight loss, at least similar to that obtained after gastric bypass, theoretical benefits for operated patients are a shorter operative time, the performance of only one anastomosis, and no mesentery opening. A prospective trial is now being conducted to find out the results of the procedure and to compare them to those obtained with gastric bypass and standard duodenal switch.

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Acknowledgment

The present work has been financed by a grant of the Medical Foundation of the Mutua Madrileña del Automovilista.

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Authors and Affiliations

  1. Department of Surgery, Hospital Clínico San Carlos, Servicio de Cirugía 2, 7a planta, ala Norte, c/Martín Lago s/n, Madrid, 28040, Spain

    Andrés Sánchez-Pernaute, Elia Pérez-Aguirre, Juan Carlos García Pérez, Luis Díez Valladares, Pablo Talavera & Antonio Torres

  2. Department of Endocrinology, Hospital Clínico San Carlos, Servicio de Endocrinologia, 1a planta, ala Sur, c/Martín Lago s/n, Madrid, 28040, Spain

    Miguel Angel Rubio Herrera & Lucio Cabrerizo

  3. Department of Epidemiology, Hospital Clínico San Carlos, Servicio de Medicina Preventiva, 4a planta, ala Norte, c/Martín Lago s/n, Madrid, 28040, Spain

    Cristina Fernández

Authors
  1. Andrés Sánchez-Pernaute
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  2. Miguel Angel Rubio Herrera
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  3. Elia Pérez-Aguirre
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  4. Juan Carlos García Pérez
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  5. Lucio Cabrerizo
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  6. Luis Díez Valladares
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  7. Cristina Fernández
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  8. Pablo Talavera
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  9. Antonio Torres
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Correspondence to Andrés Sánchez-Pernaute.

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Sánchez-Pernaute, A., Rubio Herrera, M.A., Pérez-Aguirre, E. et al. Proximal Duodenal–Ileal End-to-Side Bypass with Sleeve Gastrectomy: Proposed Technique. OBES SURG 17, 1614–1618 (2007). https://doi.org/10.1007/s11695-007-9287-8

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  • DOI: https://doi.org/10.1007/s11695-007-9287-8

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